person
Dr. Samuel E Kelly
Mental Health Counselor in Oakland Park, Florida
NPI 1669797171

Samuel E Kelly is a Mental Health Counselor based in Oakland Park, FL and is specialized in Mental Health. Samuel E Kelly practices in Oakland Park, FL. The NPI Number for Samuel E Kelly is 1669797171 and holds a License No. MH3876 (Florida).

The current practice location address for Samuel E Kelly is 2901 W Oakland Park Blvd, Oakland Park, FL and can be reached out via phone at 954-202-9334 and via fax at 954-202-7912.

Location: 2901 W Oakland Park Blvd, Oakland Park, FL, 33311-1243
person
Provider Profile Details
NPI Number
1669797171
Provider Name
Samuel E Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
2901 W Oakland Park Blvd, Oakland Park, FL, 33311-1243
Phone Number
954-202-9334
Fax Number
954-202-7912
Provider Enumeration Date
03/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
676033396 05 FL
676033398 05 FL
institution
Provider Business Practice Location Address Details
Address
2901 W Oakland Park Blvd
City
State
Zip
33311-1243
Phone Number
954-202-9334
Fax Number
954-202-7912
person
Provider Business Mailing Address Details
Address
2901 W Oakland Park Blvd
City
State
Zip
33311-1243
Phone Number
954-202-9334
Fax Number
954-202-7912
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH3876 (Florida)
Definition
Definition to come...
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